Jetcheck 365 LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JETCHECK 365 LLC

Doing business as

Jet Boutique Orthodontics

Practice address

500 S Andrews Ave Ste 180
Fort Lauderdale, FL 33301-4435

Phone

(954) 406-2569

NPI assigned

Jan 13, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Johnny Gonzalez, DMDNPI 1578039491

Title

Owner

Phone

(954) 406-2569

Specialties & licenses 1

Addresses

Other names 1

• Jet Boutique Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johnny Gonzalez, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Lauderdale, FL
  • NPI 1578039491
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1174333934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANDREWS AVE STE 180",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014435",
            "telephone_number": "954-406-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANDREWS AVE STE 180",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014435",
            "telephone_number": "954-406-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETCHECK 365 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-406-2569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jet Boutique Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Jeson, DDS
• Jessica L Vera PHD LLC
• Jessica M Gurvit PSYD PA
• Jessica Okun, DO LLC
• Flore Marie Jesuca, ARNP
• David Jetha, MD
• Deepali Nilesh Jethwa, DDS
• Jessica Jette
• Michelle Judith Jeudy Olotch
• Alexis Jezak, MSN, APRN, FNP-BC

• Dental Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.